The holder whose full name is Ketner, Derek J,come from Rosedale IN,hold the Pharmacy Tech In-Training license(NO.99057476A) which status is Expired.
| Name | Ketner, Derek J |
|---|---|
| License Number | 99057476A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Rosedale |
| State | IN |